title: [Hamman-Rich syndrome in a goldsmith].
abstract: We report the case of a 54-year old goldsmith admitted because of dyspnea on exertion, persistent cough, and weakness under the suspicion of exogenous allergic alveolitis. He rapidly developed progressive lung fibrosis with exitus letalis 7 weeks after admission. Radiological examination (chest X-ray and HRCT) first showed ground glass opacties, and later rapid development of severe interstitial pattern with architectural distraction. The findings were similar to idiopathic lung fibrosis; however, the rare Hamman-Rich syndrome was confirmed by progressive course of the disease. Correlations between Hamman-Rich syndrome and idiopathic lung fibrosis are discussed.
authors.affiliation: Institut für Allgemeine Röntgendiagnostik, Klinikum der Johann-Wolfgang-Goethe-universität Frankfurt.
authors.forename: J
authors.initials: J
authors.lastname: Kirchner
authors.forename: A
authors.initials: A
authors.lastname: Stein
authors.forename: K
authors.initials: K
authors.lastname: Viel
authors.forename: V
authors.initials: V
authors.lastname: Jacobi
mesh_terms: D003937:Diagnosis, Differential; D004391:Dust / Q000009:adverse effects*; D006046:Gold / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D016273:Occupational Exposure / Q000009:adverse effects; D055728:Primary Myelofibrosis / Q000000981:diagnostic imaging / Q000473:pathology; D011650:Pulmonary Alveoli / Q000000981:diagnostic imaging / Q000473:pathology; D011658:Pulmonary Fibrosis / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D004391:Dust; D006046:Gold
vernacular_title: Hamman-Rich-Syndrom bei einem Goldschmied.